30CLINICAL PRESENTATION OF NAIL CHANGES FOLLOWING ANTI NEOPLASTIC AGENTS: A CASE REPORTPaclitaxel is a chemotherapy agent used in the management of many neoplastic conditions. These malignant diseases would include lung, breast, ovary, head and neck and prostate cancer.We report a case of 52 yrs old women received paclitaxel chemotherapy for breast cancer. She had nail changes as a complication of treatment. Although chemotherapy-related nail toxicity is not a life threatening adverse event. Using the hertwig scale score it was concluded that there was a probable association with chemotherapy drug. However we are reporting this case to increase awareness among prescribers and patients who are receiving anti neoplastic drugs.sucharitha.radha6@gmail.comcasereport322013Paclitaxel,Breast Cancer,Nail,Hertwig’s ScaleSucharitha R,Swathi T,Subash Vijaya Kumar,A.Y.Rao,C.S.K PrakashDepartment of Pharmacy Practice, Vaagdevi College of Pharmacy, MGM Hospital, Warangal, Andhra Pradesh, India.,Department of Pharmacy Practice, Vaagdevi College of Pharmacy, MGM Hospital, Warangal, Andhra Pradesh, India.,Department of Pharmacy Practice, Vaagdevi College of Pharmacy, MGM Hospital, Warangal, Andhra Pradesh, India.,Department of Oncology, MGM hospital, Warangal, Andhra Pradesh, India.,Department of Oncology, MGM hospital, Warangal, Andhra Pradesh, India.